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CompletedNCT01843010Updated Feb 19, 2014

Effect of Parecoxib on the Change of Shoulder Pain Threshold After Gynecological Laparoscopies

A Phase 4 interventional study of Parecoxib and Placebo in Postoperative Pain Management, Pain Threshold, Shoulder Pain, Laparoscopies, sponsored by First Affiliated Hospital, Sun Yat-Sen University. Completed at 1 site in China. Open to female participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2014-02-19.

Sponsored by First Affiliated Hospital, Sun Yat-Sen University · Phase 4, Interventional, and Prevention

Phase
Phase 4
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
Female
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Study summary

This prospective, double blind, placebo-controlled, parallel group study will be conducted in the first affiliated hospital of Sun yat-sen university in Guangzhou, China. Patients aged 18-65 (ASA I-II) undergoing elective gynecologic laparoscopic surgery with general anesthesia will be involved in this study. According to previous studies and our pilot trial, estimated 120 patients will be involved in this study. All eligible patients will be randomly assigned to two groups. In group P, patients will receive parecoxib 40mg intravenously 30min before intubation, 8h and 20h after the surgery,respectively. In Group C, patients will receive normal saline at the same time points. The shoulder pressure pain thresholds will be measured with a pressure algometer by an independent doctor blinding to medication and grouping at the day before surgery, 24h and 48h after surgery. Moreover, the intensity of shoulder pain and side effects will be evaluated by another independent doctor at 24h and 48h after surgery. At the end of the observation, the intensity of the maximal shoulder pain will be assessed.

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Conditions studied

  • Postoperative Pain Management, Pain Threshold, Shoulder Pain, Laparoscopies

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Keywords

  • NSAIDs
  • Hyperalgesia
  • Postlaparoscopic shoulder pain
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In context

Shoulder Pain

707 studies on the registry are indexed under Shoulder Pain; 152 are open to participants now.

This study's enrollment of 140 is above the median of 60 across 561 interventional studies indexed under Shoulder Pain.

Browse Shoulder Pain studies →

Lead sponsor

First Affiliated Hospital, Sun Yat-Sen University is the lead sponsor of 155 studies on the registry; 51 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • females age 18-65yr,
  • American Society of Anesthesiologists (ASA)I-II,
  • Body Mass Index(BMI) 18-25kg/m2.

Exclusion criteria

Exclusion Criteria:

  • a history of severe cardiac, pulmonary, hepatic, renal disease, chronic drug or alcohol abuse;
  • the presence of preoperative shoulder pain or any chronic pain syndrome, long-term use of analgesics; allergy or contraindications to nonsteroidal anti-inflammatory drugs (allergy, peptic ulcer disease, gastroesophageal reflux disease, renal insufficiency, coagulopathy) and any other drugs used in the study;
  • patient's pain evaluation is judged unreliable;
  • patients with conversion to a laparotomy;
  • refuse to coordinate with the follow-up tests.
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Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
140 participants (actual)

Study arms

  • Active comparator
    Parecoxib

    Intravenously Parecoxib 40mg at 30min before intubation, 8h and 20h after surgery.

    Drug: Parecoxib

  • Placebo comparator
    Placebo

    Normal saline 5ml will be intravenously infused at the same time points., respectively.

    Drug: Placebo

Interventions

  • DrugParecoxib

    Parecoxib 40mg will be intravenously infused.

  • DrugPlacebo

    Normal saline 5ml will be intravenously infused.

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What researchers measure

Primary outcomes

  1. The change of shoulder pressure pain threshold

    The patients keep sitting position, and the pressure pain thresholds are measured twice at a fixed point in bilateral levator scapulae, supraspinatus, pectoralis major and flexor carpi ulnaris with a pressure algometer (FPX25, Wagner Instruments, USA) by an independent doctor.

    Time frame: The pressure pain thresholds are measured at the day before surgery, 24h and 48h after surgery

Secondary outcomes

  1. The severity of shoulder pain

    The patients are asked to rate the severity of shoulder pain via a visual analog scale (VAS) ranging from no pain (0) to worst possible pain (10) by another independent doctor.

    Time frame: At the day before surgery, 24h and 48h after surgery

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Study locations

1 site
  • Department of Anesthesiology, The First Affiliated Hospital, Sun Yat-sen University.
    Guangzhou, Guangdong 510089, China
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References and documents

Publications

  • Zhang H, Shu H, Yang L, Cao M, Zhang J, Liu K, Xiao L, Zhang X. Multiple-, but not single-, dose of parecoxib reduces shoulder pain after gynecologic laparoscopy. Int J Med Sci. 2012;9(9):757-65. doi: 10.7150/ijms.4916. Epub 2012 Oct 23. PubMed 23136538 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01843010
Lead sponsor
First Affiliated Hospital, Sun Yat-Sen University
Responsible party
Xuyu Zhang (Attending Doctor, First Affiliated Hospital, Sun Yat-Sen University) — Principal investigator
First posted
Apr 30, 2013
Start date
May 2013
Primary completion
Nov 2013
Completion
Nov 2013
Last update
Feb 19, 2014

Study contacts

Ke xuan Liu, M.D and Ph.D
study director · 1st affiliated hospital of Sun Yat-sen university

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2014. You cannot join it, but the record below documents what was studied.

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